Become A New Member

We are so honored that you want to become of member of our community. Please take a few minutes to complete the form below and let us know if you have any additional questions. Welcome to the OLOL family!

1. Family Last Name *

2. Please select one. *

I am joining with my family.

I am joining as an individual.

3. Address *

3. Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

4. Primary Phone # *

4. Primary Phone #

(###)

###

####

5. Primary Email Address *

6. Do Not Publish

Check box if you do not want your contact information published in our annual parish directory. Please be aware that we do not sell information or give out parishioner contact information to non-parishioners.

Please DO NOT publish my contact information in the annual parish directory.

7. Head of Household *

7. Head of Household

Please answer questions 6-11 for the Head of the Household.

First Name

Last Name

8. Gender *

Male

Female

9. Maiden Name

If applicable

10. DOB *

10. DOB

MM

DD

YYYY

11. Religion *

12. Occupation *

13. Languages you are fluent in (aside from English)

14. Cell Phone # *

14. Cell Phone #

(###)

###

####

15. Email

16. Spouse

16. Spouse

*If applicable, please fill out questions 16-24 for your Spouse.*

First Name

Last Name

17. Gender

Male

Female

18. Maiden Name

19. DOB

19. DOB

MM

DD

YYYY

20. Religion

21. Occupation

22. Languages you are fluent in (aside from English)

23. Cell Phone #

23. Cell Phone #

(###)

###

####

24. Email

25. Other Adults

Please list any additional adults (their name, gender, DOB, religion & occupation) who are members of your household & their relationship to you.

26. Children Living at Home

If applicable, please list all children living at home (their age, DOB, gender, birthplace & if they have been baptized).

27. Do you have any immediate needs?

We invite you to become involved in our Parish Ministries. Please visit our website at www.OurLadyofLoreto.org to see our Parish Opportunities and Ministries of Healing and Growth.